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目的:回顾分析残胃癌与初发胃癌手术治疗及预后的差异。方法:对我院2000-01-2007-12收治的残胃癌根治手术切除患者69例,并取同期手术治疗的初发胃癌69例做对照研究。结果:残胃癌组和胃癌组相比,手术时间〔(225.4±34.9)min vs(184.0±30.9)min〕、术中出血〔(416.8±338.6)mL vs(227.8±185.3)mL〕、联合脏器切除率(30.43%vs 4.35%)、术后并发症(27.54%vs 7.25%)、术后住院时间〔(15.4±5.6)d vs(12.5±3.8)d〕的差异有统计学意义,P<0.05;而清除淋巴结数目〔(17.3±5.6)枚vs(17.9±6.4)枚〕、3年生存率(40.6%vs 53.6%)相比差异无统计学意义,P>0.05。结论:残胃癌手术难度较大、并发症高,术后住院时间长,但其预后与初发胃癌无差异。
Objective: To retrospectively analyze the difference of surgical treatment and prognosis between gastric residual carcinoma and primary gastric carcinoma. Methods: A total of 69 patients with radical resection of gastric stump were treated in our hospital from January 2000 to December 2007, and 69 patients with initial gastric cancer underwent surgical resection in the same period. Results: Compared with the gastric cancer group, the operative time [(225.4 ± 34.9) min vs (184.0 ± 30.9) min), intraoperative bleeding (416.8 ± 338.6 mL vs 227.8 ± 185.3 mL, The resection rate (30.43% vs 4.35%), postoperative complications (27.54% vs 7.25%) and postoperative hospital stay [(15.4 ± 5.6) d vs (12.5 ± 3.8) days] were statistically significant, P 0.05). There was no significant difference in the 3-year survival rate (40.6% vs 53.6%) between the number of lymph nodes removed (17.3 ± 5.6 vs. 17.9 ± 6.4). Conclusion: Stomach cancer surgery is difficult, with high complication and long postoperative hospital stay, but its prognosis is no different from that of primary gastric cancer.